For quick reference, this chart briefly compares some of the key parameters for billing these codes.
| LTC/RCF billing code | MSU | In-person or virtual | Multiples | Documentation | Premiums |
03.03 VIST location = NRHM | 21.3 After 24 minutes, claim multiples: (MU =17 MSU/15 minutes) | In-person A portion of time must be spent with the patient | In-person A portion of time must be spent with the patient | Start and stop times after 24 minutes |
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Nursing Home Telephone Patient Assessment with Regulated Nursing Professional NHTA1 | 16.5 | Telephone only | No | Include a medical reason/history of presenting illness, an assessment, an evaluation of relevant body systems, a working diagnosis and a plan | TI=GPEW premium |
Allied Health Care Provider to Physician AHCP1 | 7.5 | Virtual (includes by fax or email) | No | Text required about the intervention if a visit occurred the same day | No |
03.03 RO = NHCR | 11.5 for groups of three telephone calls/faxes or emails per day/patient | Both (includes by fax or email) | No, however, claim each additional group of three | Document visit well to avoid confusion | TI=GPEW premium |